<!DOCTYPE html>
<html lang="en">
<head>
    <meta charset="UTF-8">
    <meta http-equiv="X-UA-Compatible" content="IE=edge">
    <meta name="viewport" content="width=device-width, initial-scale=1.0">
    <title>创建问卷</title>
    <link rel="stylesheet" href="/css/layui.css">
</head>
<body>
    <div style="padding: 15px;">问卷</div>
    问卷主题<input type="text" name="title" required lay-verify="required" placeholder="请输入主题" autocomplete="off" class="layui-input"style="width: 300px;">    
    问卷内容<input type="text" name="title" required lay-verify="required" placeholder="请输入标题" autocomplete="off" class="layui-input"style="width: 300px;">    
    <form >
    <div class="layui-form-item">
      <label class="layui-form-label">问题1</label>
      <div class="layui-input-block">
        <input type="text" name="title" required="" lay-verify="required" placeholder="请输入问题" style="width: 400px;;" autocomplete="off" class="layui-input">
      </div>
      <div class="layui-form-item">
        <label class="layui-form-label">请选择分数</label>
        <div class="layui-input-block">
          <select name="interest" lay-filter="aihao">
            <option value="0">1</option>
            <option value="1">2</option>
            <option value="2">3</option>
            <option value="3">4</option>
            <option value="4">5</option>
            <option value="5">6</option>
            <option value="6">7</option>
            <option value="7">8</option>
            <option value="8">9</option>
            <option value="9">10</option>
          </select>
        </div>
      </div>
      <label class="layui-form-label">问题2</label>
      <div class="layui-input-block">
        <input type="text" name="title" required="" lay-verify="required" placeholder="请输入问题" style="width: 400px;;" autocomplete="off" class="layui-input">
      </div>
      <div class="layui-form-item">
        <label class="layui-form-label">请选择分数</label>
        <div class="layui-input-block">
          <select name="interest" lay-filter="aihao">
            <option value="0">1</option>
            <option value="1">2</option>
            <option value="2">3</option>
            <option value="3">4</option>
            <option value="4">5</option>
            <option value="5">6</option>
            <option value="6">7</option>
            <option value="7">8</option>
            <option value="8">9</option>
            <option value="9">10</option>
          </select>
        </div>
      </div>
      <label class="layui-form-label">问题3</label>
      <div class="layui-input-block">
        <input type="text" name="title" required="" lay-verify="required" placeholder="请输入问题" style="width: 400px;;" autocomplete="off" class="layui-input">
      </div>
      <div class="layui-form-item">
        <label class="layui-form-label">请选择分数</label>
        <div class="layui-input-block">
          <select name="interest" lay-filter="aihao">
            <option value="0">1</option>
            <option value="1">2</option>
            <option value="2">3</option>
            <option value="3">4</option>
            <option value="4">5</option>
            <option value="5">6</option>
            <option value="6">7</option>
            <option value="7">8</option>
            <option value="8">9</option>
            <option value="9">10</option>
          </select>
        </div>
      </div>
      <label class="layui-form-label">问题4</label>
      <div class="layui-input-block">
        <input type="text" name="title" required="" lay-verify="required" placeholder="请输入问题" style="width: 400px;;" autocomplete="off" class="layui-input">
      </div>
      <div class="layui-form-item">
        <label class="layui-form-label">请选择分数</label>
        <div class="layui-input-block">
          <select name="interest" lay-filter="aihao">
            <option value="0">1</option>
            <option value="1">2</option>
            <option value="2">3</option>
            <option value="3">4</option>
            <option value="4">5</option>
            <option value="5">6</option>
            <option value="6">7</option>
            <option value="7">8</option>
            <option value="8">9</option>
            <option value="9">10</option>
          </select>
        </div>
      </div>
      <label class="layui-form-label">问题5</label>
      <div class="layui-input-block">
        <input type="text" name="title" required="" lay-verify="required" placeholder="请输入问题" style="width: 400px;;" autocomplete="off" class="layui-input">
      </div>
      <div class="layui-form-item">
        <label class="layui-form-label">请选择分数</label>
        <div class="layui-input-block">
          <select name="interest" lay-filter="aihao">
            <option value="0">1</option>
            <option value="1">2</option>
            <option value="2">3</option>
            <option value="3">4</option>
            <option value="4">5</option>
            <option value="5">6</option>
            <option value="6">7</option>
            <option value="7">8</option>
            <option value="8">9</option>
            <option value="9">10</option>
          </select>
        </div>
      </div>


  <div class="layui-form-item">
    <div class="layui-input-block">
      <button class="layui-btn" lay-submit="" lay-filter="formDemo">立即提交</button>
      <button type="reset" class="layui-btn layui-btn-primary">重置</button>
    </div>
  </div>
  <script src="/dist/layui.js"></script>
</body>
</html>